Schedule a HICAP Speaker

Do you have an event where someone with Medicare knowledge is needed? Contact your local HICAP and invite a state-registered HICAP Counselor to come speak or participate with you on Medicare issues/concerns. Whether your event targets Medicare beneficiaries and/or their caregivers, or providers HICAP Counselors are trained to provide information on Medicare and Medicare related topics. There are no fees for HICAP speaker presentations.

Fill in the form below and press the Submit button when you're finished.

Event Name:  
Event Date:
  Format: MM/DD/YYYY
 
Event Time:
from   to
 
Organization Name:  
Contact Name:  
Telephone:
  xxx-xxx-xxxx    Ext.  
 
E-mail:  
County:
City:  
Estimated Attendees:  

Please Check the Topic(s) of Focus:

Notes: